Lipovetskiy, Boris

Lipovetskiy, Boris is an individual health care provider with primary practice located at 104 Se 1St St , Fort Lauderdale FL 33301-1924. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lipovetskiy, Boris can be contacted via phone (954) 525-5662.

Contact Information

Primary practice address
104 Se 1St St Fort Lauderdale FL 33301-1924
Phone: (954) 525-5662
Fax: (954) 525-5251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18645 Massachusetts

Profile Details

NPI number 1629113808
LBN Legal business name Lipovetskiy, Boris
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Oct 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629113808 NPPES
Massachusetts MEDICAID 0278238

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